The Frequency of Tobacco Smoking and E-Cigarettes Use among Primary Health Care Patients—The Association between Anti-Tobacco Interventions and Smoking in Poland

Znyk, Małgorzata; Wężyk-Caba, Ilona; Kaleta, Dorota

doi:10.3390/ijerph191811584

Cited by 2 publications

(2 citation statements)

References 53 publications

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“…At the same time, a questionnaire survey was conducted among patients. The results were presented in the other articles ( 25 , 26 ). Our research was anonymous, and thus the general practitioners could not be linked to their patients in any way.…”

Section: Methodsmentioning

confidence: 90%

Healthy lifestyle counseling, and barriers perceived by general practitioners in Poland

Znyk,

Kaleta

2023

Front. Public Health

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IntroductionThe aim of the study was to determine the influence of the personal factors, such as body mass index (BMI), of general practitioners (GPs), and their counseling on weight management, healthy lifestyle, and their perceived barriers.Materials and methodsThe cross-sectional study was conducted from January 2020 to December 2021 among 161 GPs in the city of Lodz.ResultsOnly 3.7% of physicians always advised their patients on diet and physical activity (p < 0.05). Most of the GPs (54%) provide counseling occasionally. GPs gave general advice more often to patients with chronic diseases than to patients who did not. The study showed that the chance of providing advice on eating habits or physical activity was significantly higher for the GPs who practiced physical activity (OR = 2.64; 95%Cl: 1.01–6.91, p < 0.05) and measured patient weight, height, and BMI (OR = 4.86; 95%Cl: 1.86–12.67, p < 0.001). GPs who were overweight (OR = 3.55; 95%Cl: 1.49–8.41, p < 0.01) and measured patient weight, height, and BMI (OR = 3.61; 95%Cl: 1.58–8.25, p < 0.01) were more likely to advise on nutrition or physical activity to “healthy” patients. Doctors who measured patient weight, height, and BMI advised patients with chronic diseases (OR = 6.45; 95%Cl: 2.54–16.34, p < 0.001). Over 40% of GPs believe that they are not effective in counseling. Lack of time turned out to be the main barrier to counseling for 73.3% of GPs, which was associated with heavy workload (>100 visits per week).ConclusionAs many GPs doubt their effectiveness, it is recommended that GPs attend more training activities regarding counseling. In addition, organizational changes are needed to reduce patient numbers, and financial incentives are needed to improve counseling and patient measurement.

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Section: Methodsmentioning

confidence: 90%

Healthy lifestyle counseling, and barriers perceived by general practitioners in Poland

Znyk,

Kaleta

2023

Front. Public Health

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“…The questionnaire was created by specialists and was validated in a previous large study (41). A survey was also conducted among GPs and patients, the results were presented in the other articles (42)(43)(44).…”

Section: Study Variablesmentioning

confidence: 99%

Nurse-led lifestyle counseling in Polish primary care: the effect of current health status and perceived barriers

Znyk,

Kostrzewski,

Kaleta

2024

Front. Public Health

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IntroductionOur study included counseling on diet and physical activity, smoking, e-cigarette use, and alcohol consumption. The aim was to examine the correlates of counseling provided by primary care nurses with the health status/health behaviors of nurses and the barriers in the advice provided.Materials and methodsIn 2022, we conducted a cross-sectional survey among 331 nurses employed in the primary care sector in Lodz. The questionnaire consisted of three sections: characteristics of the patient population receiving treatment and provided with healthy lifestyle counseling by nurses, barriers to the process of assessing, controlling, and guiding patients, and health status/health behaviors of nurses.ResultsEighty percent of the nurses in our study provided advice on diet and physical activity to primary care patients. Over 70% of the survey participants performed minimal anti-smoking interventions forsmokers, 67.7% for alcohol drinkers, and 56.8% for e-cigarette users. The correlates of counseling in the field of diet and physical activity turned out to be the knowledge and skills, which enabled nurses to provide advice (OR = 2.57, p < 0.01). The correlates of the conducted minimal anti-smoking interventions in smoking patients were: subjective assessment of overweight and obesity in nurses, knowledge and skills in conducting counseling (OR = 1.92, p < 0.05), and measuring body weight, height and BMI (OR = 2.18, p < 0.01). Among the three most common barriers identified by the nurses in the process of assessing, monitoring, and guiding patients were the opinion that patients are not interested in improving their diet, physical activity, and weight loss (60.7%), lack of time (51.4%), as well as the belief that patients find it too difficult to change their current habits (54.1%).ConclusionThe results of our survey indicate that nurses’ participation in healthy lifestyle counseling in adult patients is unsatisfactory. Interventions in primary care should be designed considering the specific obstacles nurses may face in leading healthy lifestyles. Further training of nursing staff is required to increase their knowledge on healthy lifestyles.

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The Frequency of Tobacco Smoking and E-Cigarettes Use among Primary Health Care Patients—The Association between Anti-Tobacco Interventions and Smoking in Poland

Cited by 2 publications

References 53 publications

Healthy lifestyle counseling, and barriers perceived by general practitioners in Poland

Healthy lifestyle counseling, and barriers perceived by general practitioners in Poland

Nurse-led lifestyle counseling in Polish primary care: the effect of current health status and perceived barriers

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